| NPI | 1619643392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 810155) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 810155) |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-12-30 |