| NPI | 1558978031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1057520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 240690) |
| 163W00000X Registered Nurse (Licence: DC RN1057520) | |
| 163W00000X Registered Nurse (Licence: VA 0001301219) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024180990) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-08-23 |