NPI | 1891926028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP111976) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 587686) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2023-08-29 |