| NPI | 1962585661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 12289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12289) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-02-26 |