| NPI | 1033655964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 22287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1134014) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-08-29 |