| NPI | 1013382837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001235904) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 00241473014) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2023-04-13 |