| NPI | 1053030650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11021493) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9398587) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-09-08 |