| NPI | 1497268320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5010058) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NC 246271) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2021-04-13 |