| NPI | 1003137597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP06195) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: LA AP06195) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-08-11 |