| NPI | 1700629391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 39082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 229870) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2025-08-11 |