| NPI | 1619282787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 31131) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03417 ANP) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2022-03-18 |