| NPI | 1053106849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021952) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5021952) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-11-11 |