| NPI | 1699296558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024174998) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0024174998) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-08-10 |