| NPI | 1225614209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024185704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001303524) |
| 163W00000X Registered Nurse (Licence: DC RN1040218) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2022-12-02 |