| NPI | 1235645003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 113105) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY F382758-1) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2020-07-14 |