NPI | 1184422990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1193831) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 1193831) |
Enumeration Date | 2025-03-06 |
Last Update Date | 2025-05-28 |