| NPI | 1245680388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC F0616124) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5008778) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-05-19 |