| NPI | 1851308415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202111928NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380664) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-03-11 |