NPI | 1518331545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP12963) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734339) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 129638) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129638) | |
Enumeration Date | 2015-11-13 |
Last Update Date | 2024-12-03 |