| NPI | 1932974326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11043181) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9487996) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-10-23 |