| NPI | 1891235214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R227552) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD R227552) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD AC002009) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-11-12 |