| NPI | 1730699851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KS 5379628041) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA C129540) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NE 1991) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C129540) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C129540) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NE 1991) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2020027223) | |
| 163W00000X Registered Nurse (Licence: KS 1415299041) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA C129540) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2022-01-20 |