| NPI | 1205350683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024175197) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024175197) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2024-05-07 |