| NPI | 1013241686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2008035924) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2008035924) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2021-11-15 |