| NPI | 1639841117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC BRUB-N0AFD) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 286430) |
| Enumeration Date | 2021-10-02 |
| Last Update Date | 2022-12-29 |