| NPI | 1740342112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 114434) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-03-07 |