| NPI | 1508646043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 34961) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 266248) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-07-03 |