| NPI | 1760078125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 28711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 197769) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2021-02-11 |