| NPI | 1841369931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP0139) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ RN041430) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-09 |