| NPI | 1265367619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 202517103) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 1087020) |
| 208000000X Pediatrics (Licence: WI 202517103) | |
| 282NC2000X General Acute Care Hospital, Children | |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |