| NPI | 1316293723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 5037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 98616) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000594) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2023-02-10 |