| NPI | 1932155116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 1740) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 279780) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 279780) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-10-07 |