| NPI | 1104133800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: UT 8984976-4405) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AK 149946) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 22329) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2024-11-14 |