| NPI | 1093437824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 15982-33) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 1001819) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 1116551-30) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1001819) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024185832) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-10-04 |