| NPI | 1700669199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 217575) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MT NUR-APRN-LIC-217575) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-10-17 |