| NPI | 1427816131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2024010302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016021092) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-25 |