| NPI | 1528629862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5023609) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-2461) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2026-01-09 |