| NPI | 1992146088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004760) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R093565) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2022-06-10 |