| NPI | 1235173030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 200280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1792202) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-12-08 |