| NPI | 1679521520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2019012307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 131957) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-09-23 |