| NPI | 1194378539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8747) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 124342) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-04-14 |