| NPI | 1881828358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R-217513-7) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101.0047176) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-03-17 |