| NPI | 1730382359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 28686) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f380412) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2024-10-10 |