| NPI | 1083472435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11031747) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9514011) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-10-29 |