| NPI | 1154743466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1141649) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704253006) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11029643) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2024-04-09 |