| NPI | 1770283699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 37485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 235050) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-10-24 |