| NPI | 1619099876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KY 3004295) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KY 3004295) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KY 3004295) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2016-09-13 |