| NPI | 1770770331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003591A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 0050-03504) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2022-10-20 |