| NPI | 1033539382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 300995) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A003963) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP136847) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP136947) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2025-05-06 |