| NPI | 1720127145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 200017) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 0050-00468) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-21 |