| NPI | 1730736208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA APRN-CP206868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 206868) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-05-27 |