| NPI | 1538565205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028719) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP127503) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WI 20142071) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2024-03-15 |