| NPI | 1316544638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP002687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10443-33) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 10443-33) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-08-21 |