| NPI | 1437585825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3008289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008289) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2025-09-05 |