| NPI | 1740902964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1097163) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1097163) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX 1097163) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1097163) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1097163) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-11-07 |