| NPI | 1811923766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 850662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS R850662) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MS R850662) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-05-09 |