| NPI | 1053829291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0993539) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5013523) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5013523) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-08-22 |