| NPI | 1316995061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 11835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 135819) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-06-12 |