| NPI | 1023851771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 15471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 15471-33) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-08-16 |