| NPI | 1356964811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1045866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 883697) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1028610) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 202120259) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2023-02-20 |