| NPI | 1801568787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024182825) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024182825) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-03-26 |