| NPI | 1184301970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-169385) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-169385) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-02-19 |