| NPI | 1831649979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 7324-33) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 163637) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2021-01-11 |