| NPI | 1679761431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C165789) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA C165789) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C165789) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP2912) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ AP4367) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 2243) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-12-29 |