| NPI | 1275047896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP61354258) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP134932) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2024-05-20 |