| NPI | 1629442256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R167581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R167581) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-07-13 |