NPI | 1699213140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX AP133166) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133166) |
Enumeration Date | 2017-02-04 |
Last Update Date | 2025-01-24 |