| NPI | 1336909191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019867) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 311639) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5019867) | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-06-16 |