NPI | 1750907770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 60802) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM AP145919) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP145919) | |
Enumeration Date | 2020-06-25 |
Last Update Date | 2023-07-06 |