| NPI | 1336728120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5021621) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NC 271146) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-02-05 |