| NPI | 1144191214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5024974) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28285027A) |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2026-07-19 |