| NPI | 1558195743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 20832) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 20832) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 20832) | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-04-29 |