| NPI | 1205877412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5000962) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9208753) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-10-26 |