| NPI | 1548895105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 273526) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN192494) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-04-20 |