| NPI | 1932677226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 54514) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NM R64182) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-06 |