| NPI | 1346219169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA PNP0024157708) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024157708) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-07-22 |