| NPI | 1992059273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AR A003740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011743) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2023-02-09 |