| NPI | 1952180424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: MO 2024004871) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN UNAVAILABLE) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KS 53-83094-051) | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-04-19 |