| NPI | 1942972336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: AZ RN200146) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 260728) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2025-01-08 |