| NPI | 1881853075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024179673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001295455) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-07-28 |