| NPI | 1285274175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 7213) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN 2180012) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2023-08-10 |