| NPI | 1043575780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5005698) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 210237) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 1043575780) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2025-06-09 |