NPI | 1740748797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1134273) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX 1134273) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL APRN9410280) | |
Enumeration Date | 2019-03-08 |
Last Update Date | 2024-01-25 |