| NPI | 1972399822 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28231552A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71016648A) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IN 28231552A) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-06-16 |