| 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 |