| NPI | 1003486044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP027528) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 2214) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C173406) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-10-06 |