| NPI | 1841955598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AL 1-154412) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-154412) |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2024-01-11 |