| NPI | 1437704863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: GA 272363) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC002754) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-03-21 |