NPI | 1417750886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DC NP500024498) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 334209) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 202516848) | |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-08-05 |