| NPI | 1366901019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11015719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 209631) |
| 163W00000X Registered Nurse (Licence: FL 9409643) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-09-01 |