| NPI | 1487189767 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0089969)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D89969)  | 
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD D89969)  | |
| Enumeration Date | 2017-04-25 | 
| Last Update Date | 2023-11-02 |