| NPI | 1750711628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VI AP13889) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-02294) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-06-02 |