| NPI | 1740906676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 279956) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 279956) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |