| NPI | 1730636580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP200003257) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382658-1) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-09-21 |