| NPI | 1275598484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 1038) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI RN39252) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-02-04 |