| NPI | 1801206024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60732497) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002110) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP126159) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-05-19 |