| NPI | 1184674491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R096361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R096361) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD R096361) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-10-18 |