| NPI | 1932875473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 219487) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: LA RN145093) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |