| NPI | 1003522558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 245155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9392295) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11019245) | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2026-05-13 |