| NPI | 1851580567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03029) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AR R69582) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |