| NPI | 1508537838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R153863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R153863) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-10-27 |