| NPI | 1396401030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1020646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1020646) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-02-08 |