NPI | 1427362599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 637094) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 637094) |
Enumeration Date | 2010-08-01 |
Last Update Date | 2024-04-26 |