| NPI | 1851894000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61492456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9482657) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 23580) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-05-22 |