| NPI | 1881191278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95010830) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ AP11177) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2021-12-17 |