| NPI | 1841782265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ 182604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F07180341) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2023-12-18 |