| NPI | 1811788920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 39492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 246697) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-08-28 |