| NPI | 1992427546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11037729) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9529017) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-04-30 |