| NPI | 1114492329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR 225954) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN281628) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024181211) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2023-10-30 |