| NPI | 1285216077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A164211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 139189) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A164211) | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2022-10-04 |