| NPI | 1174043236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R214060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 20170472) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-10-19 |