| NPI | 1689394918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5016813) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL BACK-W2YUI) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |