| NPI | 1659719292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 795082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16362500) |
| 163W00000X Registered Nurse (Licence: PA RN641677) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 795082) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-07-02 |