| NPI | 1386006567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R201206) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R201206) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024176680) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-08-17 |