| NPI | 1013335546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R117755) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R117755) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2015-06-01 |