| NPI | 1710848635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL 9450165) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11047386) |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2026-06-30 |