| NPI | 1114220688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP127204) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC 1022067) |
| 163W00000X Registered Nurse (Licence: IL 041.343584) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-07-21 |