NPI | 1801405436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1134535) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 804878) |
Enumeration Date | 2020-07-29 |
Last Update Date | 2023-11-07 |