| NPI | 1518356013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004206) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN19299) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-10-01 |