| NPI | 1538365895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR A01807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 1762) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-02-23 |