| NPI | 1528799905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NC 5016545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 5016545) |
| 363L00000X Nurse Practitioner (Licence: NC 5016545) | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-07-15 |