| NPI | 1992314108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A157012) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A157012) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2024-01-27 |