| NPI | 1932195401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP003256D) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA VP003256D) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2025-08-15 |