| NPI | 1871264697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OR 10015269) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 10015269) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-01-11 |