| NPI | 1437858347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 20222198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 296364) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |