| NPI | 1265706337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2004020402) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2004020402) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-11-10 |