| NPI | 1548937139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 233782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 129142) |
| 363L00000X Nurse Practitioner (Licence: AK 233782) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-01-23 |