| NPI | 1558976795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 34737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 217691) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 34737) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-11-27 |