| NPI | 1942925565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11043615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9540044) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2026-07-16 |