| NPI | 1952604167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A003458) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03458 ANP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A003458) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AR A03458) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2022-07-14 |