| NPI | 1386257244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 250161) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN168655) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-12-09 |