| NPI | 1558960153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 62681) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 202018145) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2023-12-07 |