| NPI | 1629180849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5008997) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL ARNP9169528) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-10-17 |