| NPI | 1932871837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 275393) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: AZ 23188106) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-02-20 |