| NPI | 1679220974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 776121) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD 20188142) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |