| NPI | 1609205814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NV APRN002291) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP5264) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-05-02 |