| NPI | 1558078709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 37542) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 252633) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-11-08 |