| NPI | 1366134777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP027851) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA RN673896) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-12-11 |