| NPI | 1639422033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5005819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 218710) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-12-08 |