| NPI | 1881044014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71006402) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28193477) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2021-01-19 |