| NPI | 1083472955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024187778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024187778) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-04-12 |