| NPI | 1366057119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024179798) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001256458) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0024179798) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-08-10 |