| NPI | 1366740763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 20577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 168998) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2015-11-05 |