| NPI | 1013245208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 10633-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 169727-030) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2023-05-25 |