| NPI | 1194985143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704295872) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002267A) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71002267A) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-04-08 |