| NPI | 1255890737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 231777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN179988) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-09-04 |