| NPI | 1558557314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 12924) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN RN0000137023) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2023-04-24 |