| NPI | 1750028809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021997) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: VA 202112849) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-07-17 |