| NPI | 1487809026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024165174) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0017137508) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |