| NPI | 1871871251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 4475) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4475-33) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-10-21 |