| NPI | 1134617467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 15291) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 759923) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-08-29 |