| NPI | 1326699778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 174143) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 31138) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2022-06-08 |