| NPI | 1851060941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT NUR-APRN-LIC-212585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 114038) |
| 208000000X Pediatrics (Licence: MT NUR-APRN-LIC-212585) | |
| 208000000X Pediatrics (Licence: KS 53-80036-061) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 53-80036-061) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: MT NUR-APRN-LIC-212585) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2026-07-21 |