| NPI | 1982912150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001884) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024168988) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1020929) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2019-10-21 |