| NPI | 1184388621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C181424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021034987) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-80464-111) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1156708) | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2025-02-05 |