| NPI | 1881348464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023915) |
| Additional Taxonomies | 175M00000X Midwife, Lay |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-09-09 |