| NPI | 1780142893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: VA 0024180290) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD AC002629) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC002629) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024180290) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-09-11 |