| NPI | 1477079168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ARNP934484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP934484) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2021-03-23 |