| NPI | 1982913141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA c121201) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IA C-121201) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2022-01-11 |