| NPI | 1851000889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 907052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 915707) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-10-15 |