NPI | 1245073691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1158234) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1158234) |
Enumeration Date | 2024-06-14 |
Last Update Date | 2024-09-10 |