| NPI | 1366042988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 271552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN211157) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2022-09-15 |