| NPI | 1184136681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9396992) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9396992) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2020-03-20 |