| NPI | 1558783480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA C177426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 780307) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP125107) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C177426) | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2024-02-21 |