| NPI | 1316403363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 322329) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN212818) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2025-07-15 |