| NPI | 1780758474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71000447A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000447A) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-04-08 |