| NPI | 1871870147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R213068) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21157) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3652) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2015-02-26 |