| NPI | 1497348056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024179912) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2023-05-09 |