| NPI | 1922585223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 8507-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 198015-30) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-05-08 |