| NPI | 1396416244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: SD CP002412) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113504) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-10-31 |