| NPI | 1821516030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP145885) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 808963) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP145885) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-12-12 |