| NPI | 1174976450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188809) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1041963) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R188809) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-09-28 |