| NPI | 1386435261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2025016318) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 2009021039) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-10-06 |