| NPI | 1902156920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 59279) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R202541) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1021113) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-07-11 |