| NPI | 1821709189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R2200384) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010453) |
| 163W00000X Registered Nurse (Licence: MD R2200384) | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-12-18 |