| NPI | 1528628203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024195087) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX Pending) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2026-02-24 |