| NPI | 1144298837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024112064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001112064) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-10-27 |