| NPI | 1245800788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C164765) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IA 144460) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C164672) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-07-21 |