| NPI | 1619219037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 22679) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: DC RN1014132) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP11276) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2022-02-28 |