| NPI | 1427292267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2001022887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2001022887) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-04-25 |