| NPI | 1215802848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C187387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 159943) |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-11-11 |