| NPI | 1013995117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024166100) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL Arnp9325389) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-11-23 |