| NPI | 1871978759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173223) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024173223) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD AC001573) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-10-11 |