| NPI | 1326272139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5009689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009689) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2023-12-18 |