| NPI | 1871759050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI APRN-2904) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1399752) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2022-07-19 |