| NPI | 1386052470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5882) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WI 5882) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2023-12-14 |