| NPI | 1578626354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 930015) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 300334) |
| 208000000X Pediatrics (Licence: NC 300334) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-08-23 |