| NPI | 1033732995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC003567) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001271471) |
| 363L00000X Nurse Practitioner (Licence: VA 0024180389) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-06-21 |