| NPI | 1053971689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 000026255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 208100) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-01-22 |