| NPI | 1194434332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 3018223) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 202213803) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-05-05 |