| NPI | 1912724154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC008400) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28273458A) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-12-04 |