| NPI | 1447929310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 34848) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 223901) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-03-24 |