| NPI | 1811127178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111029) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NE 111029) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2017-07-20 |