| NPI | 1922843614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 192790) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 16506) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2026-05-20 |