| NPI | 1841767928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0994251) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.025168) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60914127) | |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2022-07-07 |