| NPI | 1609488535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5013455) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC FERN-A0FNW) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2024-06-18 |