| NPI | 1235522780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A006126) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: AR R90320) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2020-02-06 |