| NPI | 1053035824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5016962) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC t105818) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-29 |