| NPI | 1497275572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: ND R35495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND R35495) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-06-19 |