| NPI | 1538872577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0024186110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186110) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-12-31 |