| NPI | 1598299315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3014747) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 129605) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60774886) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-03-15 |