| NPI | 1740280924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 6053) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 6053) |
| 163W00000X Registered Nurse (Licence: TN 70237) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-01-23 |