| NPI | 1306060801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024178241) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA RN134734NP) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-03-29 |