| NPI | 1962413401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 6169) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 006169) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-11-29 |