| NPI | 1831456441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA NP95032509) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN205009) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2025-08-26 |