| NPI | 1467515247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300367) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 300367) |
| 208000000X Pediatrics (Licence: NC 300367) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-03-06 |