| NPI | 1841563707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5019070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 840505) |
| 163W00000X Registered Nurse (Licence: NC 367112) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP121830) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 29128) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-08-08 |