| NPI | 1003573114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1057013) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TX 1057013) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |