| NPI | 1184294605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 202017962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 202017962) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-01-10 |