| NPI | 1841477726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024000058) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2016-06-09 |