| NPI | 1346549714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2016043422) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KS 77479) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2017-11-27 |