| NPI | 1083343453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C164462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C164462) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-08-03 |