| NPI | 1801984612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R150103) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD R150103) |
| 364S00000X Clinical Nurse Specialist (Licence: CA RN635939) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-05-13 |