| NPI | 1003889965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: NC 930054) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 930054) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NC 930054) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2024-08-02 |