| NPI | 1083039507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008194) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9371003) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2023-04-17 |