| NPI | 1861594632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR 191517) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: AR 191446) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-02-20 |