| NPI | 1376024844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN24515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015017630) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-09-29 |