| NPI | 1730061235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1048545) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DC RN1048545) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-08-21 |