| NPI | 1558044412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 153544) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 153544) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-02-01 |