| NPI | 1912650011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-155308) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL 1-155308) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2025-01-22 |