| NPI | 1366077562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-119564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 1-119564) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2023-02-13 |