| NPI | 1093452427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 314469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 314469) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 903010) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1084065) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61444941) | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-05-27 |