| NPI | 1275261786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5016762) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC GILM-G7052) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-05-16 |