| NPI | 1760783070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 7474-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 167701) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2021-01-11 |