| NPI | 1437615358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 29312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 214691) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2022-03-21 |