| NPI | 1225706427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1146907) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TN APN0000030125) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-11-21 |