| NPI | 1235699638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 221734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN145397) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2021-08-23 |