| NPI | 1811989049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL RN2751872) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2751872) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-10-14 |