| NPI | 1912692823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R236384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN200002519) |
| 163W00000X Registered Nurse (Licence: PA RN747038) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MD R236384) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DC NP200002519) | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-10-27 |