| NPI | 1205220365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP127741) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 805522) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-04-19 |