| NPI | 1023709839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP027734) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: PA RN682642) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-10-07 |