| NPI | 1255708509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5010469) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 1677) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 19702) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2025-07-22 |