| NPI | 1942713771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT 229896) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 42649) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-04-05 |