| NPI | 1124751094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 32121) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 197880) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-08-19 |