| NPI | 1841775277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71008663A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008663A) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-10-26 |