| NPI | 1316090202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP04195) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 713158) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN104466-AP04195) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-03-14 |