| NPI | 1356347017 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R18721) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R18721) | 
| Enumeration Date | 2005-06-27 | 
| Last Update Date | 2010-01-28 |