| NPI | 1922650258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024181315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024181315) |
| 208000000X Pediatrics (Licence: MD R233281) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-10-26 |