| NPI | 1083686620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 047008-23) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NH 047008-21) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 195062) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2019-06-07 |