| NPI | 1124223425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP144806) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: AR A01654) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-01-20 |