| NPI | 1417557331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 35305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000212008) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2025-02-19 |