| NPI | 1376110635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 28359) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 28359) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-05-16 |