| NPI | 1245950401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 233553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 233553) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-04-17 |