| NPI | 1487111548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 203691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 203691) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2026-06-03 |