| NPI | 1033460449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: OK 83204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 83204) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2024-05-02 |