| NPI | 1194286427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 141249) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 177348) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-05-13 |