| NPI | 1285446005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 234964) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 38339) |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-05-13 |