| NPI | 1477413052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 16910-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 24952530) |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2026-01-09 |