| NPI | 1558637009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5020342) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2270015) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2270015) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 102603-875) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9416624) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2025-05-22 |