| NPI | 1477341915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1058782) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R248450) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-06-24 |