| NPI | 1841513389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 143688) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AK 143688) |
| 163W00000X Registered Nurse (Licence: AK 29045) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2021-11-23 |