| NPI | 1659541233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA AP05323) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA RN094547) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2014-04-15 |