| NPI | 1760401368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71000484A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28110137A) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-05-09 |