| NPI | 1851997860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383627) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 215949) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 28365) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2024-04-15 |