| NPI | 1225666035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 26661) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: SC 246707) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2024-11-01 |