| NPI | 1851047062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11036483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9478256) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-06-10 |