| NPI | 1285190157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: NC 5014828) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: DC RN1029095) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2022-04-08 |