| NPI | 1487376257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: LA 227799) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA RN159071) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-12-29 |