| NPI | 1912266503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R256823) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95003348) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP4491) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2026-02-02 |