| NPI | 1609248012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8644) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024173011) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1038656) | |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2022-09-12 |