| NPI | 1508498841 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1018605)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 115161)  | 
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11030693)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 233974)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 3-001626)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209030574)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95032554)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 11844)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704410614)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP001863)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2024006546)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 906460)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 4012378)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 13406)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-82877-072)  | |
| Enumeration Date | 2020-02-05 | 
| Last Update Date | 2025-10-15 |