| NPI | 1962084608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 33143) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 223106) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 33143) | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2023-06-19 |