| NPI | 1730548660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-110049) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 20142751) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2018-04-17 |