| NPI | 1518091776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024166297) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0024166297) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024166297) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-11-09 |