| NPI | 1841557550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 820821) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: LA AP06770) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP122007) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-08-04 |