| NPI | 1609841527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003626A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2526P) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-11-09 |