| NPI | 1942720529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 33927) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ARNP9326221) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-07-06 |