| NPI | 1629703830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1088166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1088166) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-01-26 |