| NPI | 1780456491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024195341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001302806) |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2026-01-21 |