| NPI | 1336541549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2014023964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014023964) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2024-04-25 |