| NPI | 1720253073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R106802) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD N34605) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-03-09 |