| NPI | 1134397391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KY 3005320) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KY 5320P) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2025-05-01 |