| NPI | 1578167607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 247097) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ 247097) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-12-05 |