| NPI | 1457009342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: LA 224313) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 224313) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-11-07 |