| NPI | 1730651167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60930268) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 250124) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60930268) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209.018568) | |
| Enumeration Date | 2018-12-25 |
| Last Update Date | 2020-12-11 |