| NPI | 1598278640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN2282876) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DC RN1020007) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC rn1020007) | |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2022-06-15 |