| NPI | 1215683420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F383372) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP145008) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CO C-APN.0002392-C-NP) | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |