| NPI | 1285004986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 1949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 73383) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2020-10-28 |