| NPI | 1629235577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 5228917-8900) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 278717) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-08-29 |