NPI | 1154646917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP118445) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP118445) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 588553) | |
Enumeration Date | 2010-04-05 |
Last Update Date | 2021-04-13 |