| NPI | 1114637295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP026733) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: PA 697150) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-12-09 |