| NPI | 1871270801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2023064506) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2023064506) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-07-20 |