| NPI | 1306505185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP024817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ-0010405) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-07-14 |