| NPI | 1477079317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95020389) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD R229331) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 3014786) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-12-02 |