| NPI | 1700541141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71011818A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71011818A) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-01-26 |