| NPI | 1306215926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 59822) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NM R67661) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2020-06-03 |