| NPI | 1053148338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-201155) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 203315) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 203315) | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |