| NPI | 1013441013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2017019292) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MO 2007011709) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-09-11 |