| NPI | 1295284743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OK 134008) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 21865) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-09-12 |