| NPI | 1639739774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 30512) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95038724) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 30512) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-04-18 |