| NPI | 1134945538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 907067) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 907067) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 907067) | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |