| NPI | 1841707569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: UT 108619-4405) |
| Additional Taxonomies | 2088P0231X Urology Pediatric Urology (Licence: UT 108619-4405) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-11-11 |