| NPI | 1912615360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5017229) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NC 239900) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-01-12 |