| NPI | 1407418049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382990-01) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP500012004) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC CN21013624) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-09-27 |