| NPI | 1699885020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 300298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 300298) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: NC 300298) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 152006) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-02-20 |