| NPI | 1174596795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 2303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 112622) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-12-12 |