| NPI | 1285353417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024185478) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001257265) |
| 363L00000X Nurse Practitioner (Licence: VA 0024185478) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-09-25 |