| NPI | 1619210754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AR A004365) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 17518) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2017-01-14 |