| NPI | 1093452427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP61444941) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 903010) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1084065) | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-05-24 |