| NPI | 1225005010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R205967) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1025798) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN000860) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-07-12 |