| NPI | 1922074988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 147237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 147237) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2009-02-24 |