| NPI | 1558918615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012104) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2021-08-27 |