NPI | 1831852581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1052833) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1052833) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1052833) | |
Enumeration Date | 2021-10-20 |
Last Update Date | 2023-05-22 |