| NPI | 1992328314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 8582) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN 2063760) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2022-01-07 |