| NPI | 1730439431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001066) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV APRN89856-CPNP-PC) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2015-04-17 |