| NPI | 1619060720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN35367) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD RO92724) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |