| NPI | 1467108282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R252408) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: PA RN715941) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-05-06 |