| NPI | 1154964930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1088788) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 929193) |
| 208000000X Pediatrics (Licence: TX 1088788) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-01-13 |