| NPI | 1023262409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NM CNP0073) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NM R34963) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2022-11-15 |