| NPI | 1326675448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: ND R33553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND R33553) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-05-28 |