| NPI | 1770398208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 201885) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ND 201885) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-03-21 |