| NPI | 1942058862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71015344A) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28230526A) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-08-15 |