| NPI | 1780852962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: LA AP05230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN099522) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2019-04-19 |