| NPI | 1063480317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-03021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0058464) |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2017-03-10 |