| NPI | 1821414806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA sp019289) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN193933) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-10-06 |