| NPI | 1659782118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP7301) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: AZ RN161820) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2016-07-15 |