| NPI | 1124564190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 9386281) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: FL 9386281) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-02-21 |