| NPI | 1003193400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024169590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169590) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-09-15 |