| NPI | 1134421464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT 243250) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 990058) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO 990058) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2024-11-21 |