| NPI | 1689235434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP200003909) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 9554-33) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209022531) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-01-04 |