| NPI | 1699570994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11037794) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL 11037794) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2026-03-09 |