| NPI | 1356347017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R18721) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R18721) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2010-01-28 |