| NPI | 1215368998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: WI 5676-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 158667-30) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2021-01-08 |