| NPI | 1982095006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-03332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R49291) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2018-04-24 |