| NPI | 1952022758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10048193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202210950RN) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-07-29 |