| NPI | 1740588003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN107720-AP06410) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06410) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2024-11-18 |