| NPI | 1245282912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WI 2216) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WI 136570) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-06-15 |