| NPI | 1871330134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5021064) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: SC L-152686) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 29506) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA GAA-NP002412) | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-08-28 |