NPI | 1033879499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 840994) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0027756) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.0027756) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP025082) | |
Enumeration Date | 2021-12-28 |
Last Update Date | 2023-06-19 |