| NPI | 1174233498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CT 12.011282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.181171) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-07-12 |