| 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 |