NPI | 1528377439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1850) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 990030) |
Enumeration Date | 2010-09-27 |
Last Update Date | 2016-07-29 |