| NPI | 1700181443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 15597) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN RN0000133509) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2022-08-29 |