| NPI | 1235496209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MT NUR-APRN-115785) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MT RN-46849) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2017-03-22 |