| NPI | 1598545816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5018939) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC HUEY-G1RP3) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2025-05-13 |