| NPI | 1942414297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R070604) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R070604) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-02-29 |