| NPI | 1225734726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2023006961) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 2018001392) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-02-06 |