| NPI | 1982292389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 63044) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 202019302) |
| Enumeration Date | 2021-01-02 |
| Last Update Date | 2023-07-18 |