| NPI | 1467547505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0021489007) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 604584) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 604584) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-06-20 |