| NPI | 1285182196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2022026222) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2016032346) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KS 53-81307-071) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2022-07-21 |