| NPI | 1780328617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 296636) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: AZ RN210506) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-08-24 |