| NPI | 1144093790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 215639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP003604) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2026-06-11 |