| NPI | 1497194120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP132600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN 0170248) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2021-04-29 |