| NPI | 1871029322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA C174175) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA C174175) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132343) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C174175) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-01-02 |