NPI | 1609636083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1155402) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2023045205) |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-09-13 |