| NPI | 1376507947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 044402-23) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 044402-21) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-01-15 |