| NPI | 1831698638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: NC 5010261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010261) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-03-26 |