| NPI | 1023785755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021007304) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN1101343) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2021007304) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704422645) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2024-12-13 |