| NPI | 1033653597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 7398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7398-33) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2023-08-08 |