NPI | 1629492277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127107) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP127107) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2021-03-03 |