| NPI | 1225400757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1038874) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R218295) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024178826.) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2024-03-02 |