| NPI | 1962505453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CT 000590) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT E46044) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-07-23 |