| NPI | 1083323547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5021815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN298473) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2025-03-15 |