| NPI | 1841082575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11039969) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9470965) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-06-07 |