| NPI | 1902537947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP226239) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA AP226239) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-10-25 |