| NPI | 1942632948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CT 13449) |
| Additional Taxonomies | 281PC2000X Chronic Disease Hospital, Children (Licence: CA NP21094) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-11-27 |