| NPI | 1720701014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 32626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 895022) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-09-28 |