| NPI | 1730602459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 230100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 230100) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-04-12 |