| NPI | 1235535949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 19258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 171889) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 19258) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2024-09-27 |