| NPI | 1952552499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000016025) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03049) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2020-05-20 |