NPI | 1093975906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 117022) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 607588) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP117022) | |
Enumeration Date | 2008-06-13 |
Last Update Date | 2023-11-08 |