| NPI | 1982074613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 24950) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1035928) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R218831) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2021-11-18 |