| NPI | 1861758419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: FL ARNP9426537) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 309005559) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2022-01-27 |