| NPI | 1952022766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013104A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28237930A) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-12-05 |