| NPI | 1922443449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71003869A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28198964A) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2021-03-12 |