| NPI | 1174274815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1069774) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 864475) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-02-11 |