| NPI | 1902019391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: OK D6164604 ARNP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL ARNP 2608622) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 565355 PNP-LPA) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |