| NPI | 1811426919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0996375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22671926) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382287) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-05-26 |