| NPI | 1700163037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 16175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 178685) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2022-03-30 |