| NPI | 1073889606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 1837) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 1837) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2014-05-29 |