| NPI | 1821197690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 001674) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 001674) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-07-27 |