| NPI | 1679446165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C187282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 177595) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-11-11 |