| NPI | 1356040125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11024877) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9477949) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |