| NPI | 1174096838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 25053) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 25053) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TN 25053) | |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2024-11-04 |