| NPI | 1194095125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: LA RN108921-AP06666) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR A005238) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2025-08-12 |