| NPI | 1477603215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA 202530612) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CO B1390986) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2025-11-04 |