| NPI | 1326818261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MS 906472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 911931) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-03-15 |