| NPI | 1932201795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP3772) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 20030451) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-07-12 |