| NPI | 1023709839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024191845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001333136) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: PA RN682642) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP027734) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-01-02 |