| NPI | 1427598267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NM CNP03133) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP9844) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-12-09 |