NPI | 1043719032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177499) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0024177499) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024177499) | |
Enumeration Date | 2018-02-06 |
Last Update Date | 2023-11-20 |