| NPI | 1134528797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 19007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19007) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2022-04-01 |