| NPI | 1457431892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP107499) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA MS2629256) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP107499) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-27 |