| NPI | 1447894506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD TPAC1002) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP021047) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-01-19 |