| NPI | 1598199333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2013024807) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KS 53-76074-032) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2021-12-01 |