| NPI | 1750586996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A01733) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A01733) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-03-28 |