| NPI | 1245930502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11024537) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA NP001351) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2025-11-02 |