| NPI | 1861037855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 61189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-82273) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2022-08-19 |