| NPI | 1215924071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5006896) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006896) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-01-16 |