| NPI | 1780360230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 202325711) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71015547A) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2024-08-21 |