| NPI | 1992028187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3571) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ TAP3571) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 7559) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 839960) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: AZ RN098638) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2019-09-05 |