| NPI | 1831705136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1165348) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60975428) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 61524087) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-08-16 |