| NPI | 1801412283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 29568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 220086) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-10-25 |