| NPI | 1376211664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 34954) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 189537) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-01-11 |