| NPI | 1295628915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP033428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN670956) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-07-24 |