| NPI | 1679173587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-164740) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AL 1-164740) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-10-09 |