| NPI | 1952049801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 280248) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 24182907) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-09-23 |