| NPI | 1700459468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 27924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2329160) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2025-09-25 |