| NPI | 1932968278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 0000000000) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA 285472) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-07-09 |