| NPI | 1437792728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 200635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA AP200635) |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2022-01-31 |