| NPI | 1285037549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP5362) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: AZ AP5362) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2015-11-16 |