NPI | 1841767928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.025168) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0994251) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60914127) | |
Enumeration Date | 2018-10-27 |
Last Update Date | 2024-11-01 |