| NPI | 1851846810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MS 901770) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 874207) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-12-22 |