| NPI | 1477595262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011408) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5011408) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-01-22 |