| NPI | 1356543508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18754) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 690686) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3180) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX 690686) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-02-26 |