| NPI | 1730536855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9430091) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95038367) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95038367) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C184901) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA 237564) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.17974-NP) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2026-02-04 |