| NPI | 1144650565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 8799015-4405) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: UT 8799015-4405) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2021-11-23 |