| NPI | 1346856788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-185683) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 222165) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-12-13 |