| NPI | 1275963167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP07683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN124785) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2024-10-25 |