| NPI | 1780910083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2002019668) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2002019668) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2024-04-25 |