| NPI | 1154828226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 8307-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8307-33) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-04-15 |