| NPI | 1720476575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KY 3011271) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: FL 9207632) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2017-11-13 |