| NPI | 1669526026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 16383) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 3261) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-128900) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-02-15 |