| NPI | 1013593771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: DC RN1038231) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: DC RN1038231) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-04-14 |