| NPI | 1245841436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 309602) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN163432) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-07-08 |