| NPI | 1457934093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 29865) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 208308) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2023-11-06 |