| NPI | 1669201844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC APN.29096) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: SC 105706) |
| 363L00000X Nurse Practitioner (Licence: SC APN.29096) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |