| NPI | 1770224339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-181270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-181270) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-07-14 |