| NPI | 1710655659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RNP242321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 242321) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2025-08-29 |