| NPI | 1497477400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2022039084) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-81582-021) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MO 2014026080) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-10-09 |