| NPI | 1033060462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 8771895) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MT NUR-RN-LIC-174252) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT NUR-APRN-LIC-2291900) | |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-08-07 |