NPI | 1235802463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1088662) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 893998) |
Enumeration Date | 2021-07-25 |
Last Update Date | 2023-12-18 |