| NPI | 1255816203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95018945) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138679) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP138679) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95018945) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-10-28 |