| NPI | 1366161937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C169593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C169593) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |