| NPI | 1326091083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA VP003672N) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380827) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-06-07 |