| NPI | 1154878072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 264646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN198973) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-02-28 |