| NPI | 1669473088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R168665) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R168665) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2025-09-11 |