| NPI | 1942465471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9423194) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005648) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2016-07-29 |