| NPI | 1043020548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 239362) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 239362) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 239362) | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-04-10 |