| NPI | 1740571561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 1115) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-1115) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-12-01 |