| NPI | 1154056380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 277943) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ 277943) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2026-06-19 |