| NPI | 1356546634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: TX 531409) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 531409) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-04-22 |