| NPI | 1184432106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WV 121429) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 121429) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV 121429) | |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-03-25 |