| NPI | 1487919775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-115126) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-115126) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-16 |