| NPI | 1245478312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 15008-33) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 160588-030) |
| 163W00000X Registered Nurse (Licence: AZ RN165347) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3814) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2025-01-16 |