| NPI | 1033380910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 079925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 079925) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |