| NPI | 1033933072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD AC007182) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DE L1-0072111) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-01-03 |