| NPI | 1376892141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP4599) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ RN146373) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2020-05-14 |