| NPI | 1467344085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 39266) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 245381) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-21 |