| NPI | 1144836685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AL 1-162764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162764) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: AL 1-162764) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-11-16 |