| NPI | 1215442264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010254) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 252619) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2021-06-11 |