| NPI | 1427616986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A154365) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NE 112780) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-02-10 |