| NPI | 1154950301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R218545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R218545) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: DC RN1040262) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-10-26 |