| NPI | 1497810311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN54361)  | 
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DC RN54361)  | 
| Enumeration Date | 2006-12-22 | 
| Last Update Date | 2014-05-27 |