| NPI | 1548126162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 29824) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 29824) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2026-01-09 |