| NPI | 1689839896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 341433) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 3414-033) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2025-04-21 |