| NPI | 1780006262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL APRN9374077) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9374077) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2023-01-20 |