| NPI | 1801977707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 300344) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0003-00344) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-08-19 |