| NPI | 1093396269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 33261) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 0000237847) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 33261) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-05-23 |