| NPI | 1275551723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A001073) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: AR R31695) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-06-10 |