| NPI | 1689319436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: TX 1081149) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: GA RN275327) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-06-01 |