| NPI | 1740368059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024166020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024166020) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-07-15 |