| NPI | 1396418133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 9964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 163707) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-09-29 |