| NPI | 1912765256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: HI APRN-5141) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN61389242) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-06-23 |