| NPI | 1952877862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R39101) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 39101) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: ND 39101) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: ND R39101) | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-12-13 |