| NPI | 1639684293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NH 063482-23) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 063482-23) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-10-31 |