| NPI | 1740319839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP121222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R857329) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP04163) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS R857329) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS R857329) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-09-16 |