| NPI | 1346723236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201808436NP-PP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 200640045RN) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-11-13 |