| NPI | 1720437411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 23197) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23197) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-03-22 |