| NPI | 1609122324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 789804) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 789804) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 789804) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-05-30 |