| NPI | 1164072559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN26433) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN RN223411) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2022-07-20 |