| NPI | 1093573818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OR 10024047) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: OR 201403609RN) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-10-03 |