| NPI | 1568347797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R243248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R243248) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R243248) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1052732) | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-13 |