| NPI | 1902241656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1033567) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R254916) |
| 363L00000X Nurse Practitioner (Licence: VA 0024185803) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2026-01-13 |