| NPI | 1760906184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 319192) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: FL ARNP9384638) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9384638) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-10-29 |