| NPI | 1003436288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 308361) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 1692605) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-08-19 |