| NPI | 1346307535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR R78750) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR A02994ANP) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-09-20 |