| NPI | 1821750076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP024324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE LJ0010407) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2025-09-26 |