| NPI | 1255894846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 32097) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX AP141171) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP1411171) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-09-15 |