| NPI | 1114676822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC004175) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD AC004176) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-04-29 |