| NPI | 1588322101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-144016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-144016) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-03-20 |