| NPI | 1578255741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10008584) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR 10008584) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OR 10008584) | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-07-17 |