| NPI | 1629813522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704362149) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4704362149) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704362149) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-09-30 |