| NPI | 1558981753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-166386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1166386) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2022-02-08 |