| NPI | 1386286250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 219134) |
| 363L00000X Nurse Practitioner (Licence: TN 25962) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP143216) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP143216) | |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2023-07-21 |