| NPI | 1417048661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024164243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024164243) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-01-29 |