| NPI | 1396337580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 202119632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 5014130) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-10-17 |