| NPI | 1982184396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 114861) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NE 77425) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2023-07-05 |