NPI | 1487908273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 827508) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 827508) |
Enumeration Date | 2012-11-01 |
Last Update Date | 2025-03-21 |