| NPI | 1447346903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 057278-23) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP006230D) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-07-24 |