| NPI | 1306466941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: AL 202213432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-173662) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-07-26 |