| NPI | 1841738275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 904333) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 904333) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 22204) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-01-20 |