| NPI | 1487260311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1636008) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: GA 199069) |
| 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: GA 199069) | |
| 208000000X Pediatrics (Licence: TX 1636008) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |