| NPI | 1083361828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 1-169663) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1169663) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2025-04-22 |