| NPI | 1376835694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA AP06446) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 06446) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06446) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2019-10-14 |