| NPI | 1992900450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 2811972A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 2811972A) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-02-24 |