| NPI | 1669240065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R262421) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R262421) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |