| NPI | 1548317316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP108995) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11014108) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 843362) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209023789) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP001130) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95019517) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO CAPN.0003258-C-NP) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-05-21 |