| NPI | 1619760055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP500024547) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DC RN500024547) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: KY 4002904) | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-08-26 |