| NPI | 1215232491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA 215132) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 688345) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2022-06-02 |