| NPI | 1467772434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 32524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162481) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP3622) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2023-02-07 |