| NPI | 1083213599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1011635) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1011635) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1011635) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |