| NPI | 1467613562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A003124) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03124) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP130993) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 23850) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-05-02 |