| NPI | 1588697809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 001962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E43486) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-03-07 |