| NPI | 1811050693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 300218) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 300218) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-10-02 |