| NPI | 1932459112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 16779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 150951) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-09-30 |