| NPI | 1235219320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 074682-23) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NH 074682-23) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-10-02 |