| NPI | 1588258164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: FL APRN11009678) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11009678) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11009678) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-05-16 |