| NPI | 1548148943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 202631129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 327353) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2026-06-04 |