| NPI | 1518108596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 14082) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TN 163726) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2012-08-08 |