| NPI | 1588165369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP11040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP11040) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2026-02-04 |