| NPI | 1093759607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 6281) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 77749) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-10-02 |