| NPI | 1477202596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 079149-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 079149-21) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-05-15 |