| NPI | 1487083192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5008859) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN637152) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA sp013365) | |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2022-05-09 |