| NPI | 1003439241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 8600) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN 2284442) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-11-08 |