| NPI | 1619568938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1145447) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 218523) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 218523) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-01-10 |