| NPI | 1881751022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP1924) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ rn127520) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-07-12 |