| NPI | 1144200726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 20051312) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 2803) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-02-17 |