| NPI | 1730435355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 7767) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 001071) |
| 163W00000X Registered Nurse (Licence: CT 127698) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-12-16 |