| NPI | 1538704648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 33539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 235799) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 33539) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 33539) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 33539) | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-08-03 |