| NPI | 1841345915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: SC 19766) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 300071) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-06-17 |