| NPI | 1811844228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0001295568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 14275612-4405) |
| Enumeration Date | 2026-03-13 |
| Last Update Date | 2026-05-07 |